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Published on: September 20, 2018
[Rheumatologic manifestations of Behcet's disease: report of 309 cases]
C B Taarit1, S Ben Turki, H Ben Maïz
1Service de néphrologie et de médecine interne, hôpital Charles-Nicolle, boulevard 9-Avril, 1006 BS Tunis, Tunisie.
Purpose:
To define the epidemiology and clinical features of Behçet's disease, giving special attention to unusual forms.
Methods:
We retrospectively reviewed the medical records of 309 cases with joint manifestations among 450 cases of Behçet's disease seen over a 20-year period who met the International Study Group of Behçet's disease criteria.
Results:
Joint manifestations were present in 68.3% and were inaugural in 34.5%. The knee and ankles were the joints most commonly affected. Monoarthritis, oligoarthritis and polyarthritis were seen respectively in 12, 13.5 and 19.8%. Sacroiliitis is observed in 6%. Unusual forms included destructive polyarthritis (two cases), popliteal cyst (two cases), myositis (two cases) and ankylosing spondylitis (two cases).
Conclusion:
Joint manifestations are common in Behçet's disease. They are frequently associated with erythema nodosum and necrotic pseudofolliculitis. Polyarthritis is not rare. Their unusual forms deserve to be known.
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